NPI | 1629543897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: 18-66959) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-18-66959) |
Enumeration Date | 2018-10-03 |
Last Update Date | 2018-10-03 |